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Anaesthesia for living-donor liver transplantation

Authors :
Hidekatsu Furutani
Takehiko Adachi
Kazuhiko Fukuda
Hajime Segawa
Source :
Current Anaesthesia & Critical Care. 11:320-325
Publication Year :
2000
Publisher :
Elsevier BV, 2000.

Abstract

In Japan, living-donor liver transplantation has long been the only solution for end-stage liver disease. During the past 10 years, 526 cases of living-donor liver transplantation have been performed at Kyoto University Hospital. This report reviews the authors experience of anaesthesia. The most important issue is the safety of the donor. As the percentage of adult recipients has increased, so has the age of donors and because risk for the donor increases with age, careful preoperative evaluation of the donor by the anaesthetist is needed. The principal differences between living-donor liver transplantation and cadaveric donor liver transplantation are surgical technique (the former is always a partial liver transplantation) and viability of the graft (should always be better with a living donor). The major problems concerning the intraoperative management of recipients in living-donor liver transplantation are how to deal with massive blood loss and postreperfusion syndrome.

Details

ISSN :
09537112
Volume :
11
Database :
OpenAIRE
Journal :
Current Anaesthesia & Critical Care
Accession number :
edsair.doi...........3a0ba2f405ca8181870c9b0060d47a03
Full Text :
https://doi.org/10.1054/cacc.2000.0300